Reasons Why You Cant Interpret Your Own Lab Results Part II

In general, the immune system remains healthy with CD4+ T-cell counts higher than 500 cells/L. Immune system problems occur when the CD4+ T-cell count is between 200 and 499 cells/L. Severe immune system problems occur when the CD4+ T-cell count is lower than 200 cells/L. Hemoglobin A₁C (glycosylated hemoglobin A; HbA1c) is a reflection of how reference ranges for blood tests well blood glucose levels have been controlled for the past 3 to 4 months.

The test is relatively simple for the patient and involves a simple blood draw. Please note that laboratory values may vary from agency to agency. For example, on a certain monitor, the horizontal distance between the upper limits for parathyroid hormone in pmol/L and pg/mL may be 7 cm, with the mass concentration to the right. A molar concentration of, for example, 5 pmol/L would therefore correspond to a mass concentration located 7 cm to the right in the mass diagram, that is, approximately 45 pg/mL. HBA1C is a test that gives a value of average blood sugar over three months. If your doctor thinks you may be anemic, they might order a CBC and check your MCHC levels.

To get a blood sample, your provider cleans your arm and inserts a needle. In infants, providers usually insert the needle into the baby’s heel. Myoglobin, an oxygen-binding protein that is found in striated (cardiac and skeletal) muscle, releases oxygen at very low tensions. Any injury to skeletal muscle will cause a release of myoglobin into the blood.

The test screens for deficiencies and inhibitors of all factors, except factors VII and XIII. Erythrocyte sedimentation rate (ESR) is a measurement of the rate at which erythrocytes settle in a blood sample within one hour. Iron is essential for the production of blood helps transport oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs. These values (except Hemoglobin in plasma) are for total blood and not only blood plasma. Where distance is the direct (not logarithmic) distance in number of decades or “octaves” to the right the mass concentration is found.

Reference ranges for blood tests

TIBC tells you how much iron your blood could potentially carry if all binding sites were filled. This significant difference explains why premenopausal women need more dietary iron (18 mg daily) than men (8 mg daily), yet still maintain lower average iron stores. It’s nature’s math equation – if you lose more, you need to take in more just to stay even. Normal values were obtained primarily from the University of Ottawa’s laboratory (Eastern Ontario Regional Laboratory Association EORLA), the AMA Manual of Style, and Ottawa Hospital Laboratory Services. Let’s look at two people who have the same HbA1c result of 6.6%, one who is being screened for diabetes and another who is already known to have diabetes.

Check Hemoglobin Levels

In other words, an abnormal results does not always equal disease. It’s possible that your result is within that 5% of healthy people who fall outside the statistical reference range. In addition, there are many things that could throw off a test without indicating a major problem. High blood sugar could be diet-related rather than caused by diabetes. A lipid result could be high because you didn’t fast before the test. High liver enzymes can be the temporary result of a recent drinking binge rather than a sign of cirrhosis.

  • AnemiaAnemia is when you don’t have enough healthy red blood cells or hemoglobin.
  • A pregnancy test measures a hormone in the body called human chorionic gonadotropin (HCG), a hormone produced during pregnancy.
  • Reference ranges for blood, urine, and cerebrospinal fluid (CSF) tests vary based on several factors, including the specific laboratory that supplies them.
  • Whether you need a hemoglobin test, a telemedicine consultation, or ongoing support, our compassionate team is here to assist you.
  • Without monthly blood loss, some women’s iron levels gradually increase, though they typically remain lower than men’s.

Individual differences in muscle mass, physical activity, genetics, and overall health all influence what’s “normal” for you personally. Women consistently have lower ferritin levels than men of the same age due to menstrual blood loss until menopause, when the gap narrows. When you read you results report, you’ll notice that for some tests there is a column called reference intervals or reference ranges. This was an introductory post, which will set the stage for how we can interpret various lab tests using the imperfect reference ranges we have. Some typical reference ranges for a small number of commonly requested tests are listed below. Users of Lab Tests Online UK should however note that these ranges may differ between laboratories for the reasons described on these pages.

  • Ammonia is metabolized by the liver and excreted by the kidneys as urea.
  • If your hemoglobin levels fall outside the normal range, your healthcare provider will discuss potential follow-up steps or treatments.
  • From this curve, practical reference limits can be determined even if the original histogram included outlying results from some subjects not belonging to the normal population.
  • Labs don’t ask patients questions that could help interpret lab values.
  • RBCs are produced in the red bone marrow, can survive in the peripheral blood for 120 days, and are removed from the blood through the bone marrow, liver, and spleen.

Serum protein reflects the total amount of albumin and globulins in the plasma. Protein regulates osmotic pressure and is necessary for the formation of many hormones, enzymes, and antibodies; it is a major source of building material for blood, skin, hair, nails, and internal organs. Increased in conditions such as Addison’s disease, autoimmune collagen disorders, chronic infection, and Crohn’s disease.

Red blood cell counts

We order lab tests for various reasons – to confirm or refute a diagnosis, to screen for disease, to determine the severity of disease, for treatment response, and medication monitoring. Interpreting results (especially unexpected or incidental findings) can be challenging. Understanding test accuracy principles (sensitivity and specificity, negative and positive predictive value, likelihood ratios, pre-test probability) are integral for appropriate use of diagnostic tests. Certain groups of tests (panels) are commonly used to evaluate general health status or to help diagnose a suspected disorder. For example, the basic metabolic panel (BMP) typically contains 8 tests, which are used to evaluate electrolytes, glucose, calcium, and renal function.

Liver function

The log SD is calculated by the formula on p. 625 and the results are then converted to their antilogs to express the data in the arithmetic scale. This process is now generally carried out using an appropriate statistical computer program. As you can see from this case, we often order a CBC as part of a routine work up for a patient presenting with fatigue.

Lab tests can help identify these imbalances which will aid the medical professional in understanding and treating the underlying problem. Clinical laboratories consider all of these factors when establishing or validating reference ranges. Thus, any given result should be interpreted based on the reference range of the laboratory in which the test was done. The laboratory typically provides these values with the test result.

Built to Last: David Amerland’s Blueprint for Lasting Health

Blood tests cannot be interpreted accurately unless a patient has fasted for 12 hours; all three tests should be evaluated. When diagnosing diabetes and insulin resistance, we perform three tests to assess whether a patient has insulin resistance, prediabetes, or diabetes. These tests guide our diagnosis and inform the treatment we provide based on their results. AnemiaAnemia is when you don’t have enough healthy red blood cells or hemoglobin.

If the test was ordered as part of a telemedicine consultation, your healthcare provider will review the results with you during a follow-up appointment. Hemoglobin levels are a critical measure of your body’s ability to transport oxygen efficiently. Oxygen is essential for cellular function, and insufficient oxygen delivery can lead to a range of symptoms and health concerns.